HomeMy WebLinkAbout030-737-23-5511-LUP-2001-378 a�
._ �
Application for Land Use Permit o o �
County of Sawyer �
PO Box 676 -Hayward WI 54843
715/634-8288 (�O� �
The undersigned hereby makes application for a Land Use Permit and agrees that all work ��� i
shall be done in compliance with the requirements of the Sawyer County Zoning Ordinance
and the laws and regulations of the State of Wisconsin.CONSTRUCTION MAY NOT '� �
BEGIN UNTIL THE PERMIT IS ISSUED. �
'�t(� / � � ���� � PRINT-USE BLACK INK OR PENCIL a �
r,'H k����i � �;�st���� �T,� ,�,� �1�- �v��s7. y �
0�er , Builder '' ' o �
� .C. ,���� -�� � /�o��t / �� �
Mailing Address � Mailing Address �
�X E��-����� lc% .S�k�'-� �X����✓� v✓; ���F.s'> > � �
City,State,Zip (���.�,� City,State,Zip �? `
9Lf�..�7 6—���FfS �- ..1 SC��/S� �
v ) ��r-� �
Day[ime Phone � Daytime Phone �:' �
Buil mg Land Use yj �
(�Ii ew ( )Fillin� Zone District �'- � � �
�
( )Addition ( )Dredging �3� , x '7G �, ��
( )Alteration (y'f'irading Lot Size �
o {
( )Moving On ( ) � �'�
( ) ( ) Acres � ��C' � ��
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Primary Structure Accessory Building Addition �°e
( )Dwelling ( )Garage-attached/detached ( )Deck �
( )Year round ( )#of car stalls ( )Porch "
( )Seasonal (�3torage Building ( )Enclosed `LI�
( )Frame built on site ( )Screenhouse ( )Living room
( )Modular/manufactured ( )Greenhouse ( )Kitchen
( )Mobile/manufactured ( )O[her ( )Bedroom
( )Other primary structure ( ) ( )Relocate/enlarge
( ) ( ) ( )#ofnew
Type of Construction =
(�rame ( )Log ( )Pole/metal ( )Block ( )Concrete �'
�
( )Other � 5,�
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j� EZ--C. �
Construction Cost$ /~ , � �
w �
Vol r�� Pg .�.� of Deed Certified Soil Test# ��`�"�'� � • �
CSM Vol ( Pg 3 t' Sanitary Permit# N��J- �"�'
�; z
Plat Envelope Or: '_L'f q�O-58 3 `f9-�5� ` z
Condo Vol Pg Year Installed �ri �
Aff of ex septic V P Owner When Installed: � � �I�`a�
3�z I c K cl�
Application for Land Use Permit — Page 2
Describe Construction: List dimensions of each structure, story, addition, or alteration.
#1. #2. #3. #4.
Size � � ft. wide ft. wide ft. wide ft. wide
,�C ft. long ft. long ft. long ft. long
Floor area I d,0o sq. ft. sq. ft. sq. ft. sq. ft.
Hgt. &vm gade r a � to peak ft. hgt. ft. hgt. ft. hgt.
Stories / stories stories stories
# of bedrooms a
rear lot line or waterline of lake/river
In the box sketch in: � -�— - �'�� -" ! - ___.--�
Location and size of all -- --- i
existing and proposed structures. � �y �( .3�
� �Location of septic system. N�, I
Indicate distance to: �
Waterline/Wetlands � I
Road
Lot lines '
Septic system/privy �
W ell �.
Distance beriveen structures. "' �
Indicate NoRh. � � �I }
Fire Number: �,� l
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'�,� ,� � � �'� I . N E w ,
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• Signature of O�vn r
The above certifies that the listed �
information and intentions are hue and �/ �
correct.The above persods/hereby �
give perrtussion for access to [he , � /�
property for onsite ;nspection. -ff-`—Z- centerline of �C''L`'>c.� /� i� /� road-------
IssueDate August 14, 2001 ExpireDate August 14 , 2002
Office Comments: (/��{,.����-.'-C�/����
Signature of Zoning Administrator
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I DOCUMENT N0. � STATE BAR OF WISCONSIN FORM 2--tYEY rNis sr�ce nesemeo Fai�nEcono�r,c p�cr�,
WARRANTY�EED
N��1�w Y nev�a�er�Ot11w t� � .
Secry�.��i.rnmYy"'�`
i � t Atd 1he__' �••�•
Wal�er H Blomberq and Bettv J Blombera p-��i9�_el.i��doa
�'t, �a�-x,�a���iS3-�—
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���tP 1 Exeland WI 54835 -- � �� w, �,,,r, �,� _
conveye and werrenle to �'" ` � lR+�
I -- r,nrnld D AancPtp�ry_ � i��;th A Atpsptar
II _ P 0 Rnx 706 ExPl�nd W1 F4R�5 -- —` --
IRETURNtO I
j - �`.�- �� �
I ihe lollowlnp deecrlbed reet eelate In Sawver co�oiy, __.�—�—I
Slale ol Wlecon�ln:
� Tex Parcel No:
1
Part of Parcel No. 23.37.7:5.1 i
That part of Government Lot Five (5), Section Twenty-three (23), Township
Thirty-seven (37) North, Range Seven (7) West, more particularly described
i as follows: Commencing at the Southwest corner of said Government Lot 5,
I thence East, 165 feet to the point of beginning; thence continuing East
along the South line of said Gov. Lot 5, 560 feet; thence North, 264 feet;
thence West, 560 feet; thence South, 264 feet to the point of beginning,
EXCEPT the South 33 feet thereof.
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#EXEMPT
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Thl� 1 S f10t homeeteed property,
(tl (la n„oq
Exceptlon Io Warrenllaa:
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��/� UTHENTICAT�IRnN ���� ACKNOWIEDOMENT�
S�BnaWre'al ����/'�'h—� STATE OF WISCONSIN
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I __�� , �l`� �/-S`/c� _ ,�(tl[.c[k'� �.County. I
�532 PG 2�